# MS. ELISABETH COOPER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114969003
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 085-002670 | IL | — |
| 363A00000X | Physician Assistant | PA22308 | CA | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 09/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 085-002670 | — | IL |